Computed tomography angiography in acute stroke (revisiting the 4Ps of imaging)
Imaging in acute stroke has traditionally focussed on the 4Ps—parenchyma, pipes, perfusion, and penumbra—and has increasingly relied upon advanced techniques including magnetic resonance imaging to evaluate such patients. However, as per European Magnetic Resonance Forum estimates, the availability of magnetic resonance imaging scanners for the general population in India (0.5 per million inhabitants) is quite low as compared to Europe (11 per million) and United States (35 per million), with most of them only present in urban cities.
Conclusions: The MDP makes it possible to study the effectiveness of various treatment methods in stroke patients who are at the convalescence stage. Further exploratory studies using MDP theory in other areas in which complex interventions are common would be worthwhile. PMID: 32454873 [PubMed - as supplied by publisher]
Authors: Chan YT, Zhang HW, Sun WZ, Hang Or KK, Guo YQ, Chen M, Wu GY, Xu GY, Leung C, Tam S, Chun-Keung Mok F, Kwan YK, Chow E, Wo Mak JK, Chun-Kwok Chu A, Lee K, Law T, Ming Wong RW, Lin ZX Abstract Objective: To evaluate the effectiveness and safety of acupuncture treatment for dysphagia as a complication of stroke. Methods and Design. This is a multicenter, pragmatic, nonrandomized, self-controlled clinical trial. A total of 39 patients were recruited from several Chinese medicine outpatient clinics and hospital-affiliated speech therapy outpatient clinics in Hong Kong. 26 patients completed all the 24 sessions...
Condition: Acute Stroke Intervention: Sponsor: University Hospital, Essen Recruiting
Conditions: Blood Pressure; Stroke; Cardiovascular Diseases Intervention: Behavioral: PINGS 2 Sponsor: Northern California Institute of Research and Education Not yet recruiting
Conditions: Acute Ischemic Stroke; Nursing Interventions: Behavioral: The modified Barthel Index-based rehabilitation nursing program; Behavioral: Usual care Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University Completed
Conclusion: In GCT patients, our mBEP-schedule would suggest an effective treatment modality without suffering meaningful pulmonary toxicity.
From loss of smell to stroke, people with covid-19 are reporting strange neurological issues that challenge our understanding of the disease – and how to treat it
CONCLUSION: This study describes the current status of acute stroke care in Korea. Despite quite acceptable quality of stroke care, it suggests regional and hospital disparities. Expansion of stroke units, stroke center certification or accreditation, and connections between stroke centers and emergency medical services are highly recommended. PMID: 32449325 [PubMed - in process]
ConclusionsIn Japanese NVAF patients undergoing CA, NOACs have similar effects to warfarin in the prevention of stroke and systemic embolism. Moreover, NOACs were associated with a lower incidence of bleeding complications.